title: Gastric outlet obstruction with an elevated serum pancreatic lipase secondary to an infraumbilical hernia.
abstract: We report the case of a 68-year-old woman who presented with symptoms and signs of gastric outlet obstruction with a history of a ventral hernia. Clinical examination revealed a large ventral hernia with visible peristalsis of the herniated viscera. Initial serum biochemistry revealed a markedly elevated lipase level and deranged renal function. Computed tomography demonstrated an infraumbilical hernia with herniation of the stomach through the ventral defect and distortion of the pancreatic anatomy. The hernia was reduced operatively and repaired, leading to an uneventful recovery.
authors.affiliation: Alfred Health, Melbourne, Australia.
authors.forename: W Kb
authors.initials: WK
authors.lastname: Ranasinghe
authors.forename: M
authors.initials: M
authors.lastname: Smith
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D005260:Female; D017219:Gastric Outlet Obstruction / Q000209:etiology*; D006554:Hernia, Umbilical / Q000097:blood / Q000150:complications*; D006801:Humans; D008049:Lipase / Q000097:blood / Q000378:metabolism*; D014057:Tomography, X-Ray Computed
chemical_list: D008049:Lipase; C518354:PNLIP protein, human